Catheter Care and Record Book

Gateshead Health NHS Foundation Trust

Gateshead Health Foundation Trust

Catheter Care and Record Book Important information to help you care for your urinary catheter

This booklet is designed to help you care for your catheter while in hospital and at home, and includes a catheter record section, which will be completed by your Community Nurse Team.

Please keep this booklet safe and remember to take it with you to each relevant appointment and admission to hospital

2 Catheter Care and Record Book Important information to help you care for your urinary catheter

With thanks to:

Infection prevention and control team

Urology team

This booklet was kindly sponsored by:

Clinisupplies Ltd


3

Patient record booklet You have been given this booklet as you have a urinary catheter in place to drain your urine. It will be used by the Healthcare Professionals caring for you and your urinary catheter.

It is very important that you bring this booklet to any health care appointment in the community or at the hospital... for the doctors or nurses to review or update the document. It provides details for the reason your catheter is needed and any planned dates for removal or change. If you have any known risks for infection these are also stated on the form.

Glossary:

Catheter specimen of urine (CSU) – This refers to a sample of urine taken from the catheter.

Prophylactic antibiotics – If you do not have an infection but are at greater risk, the doctors may prescribe an antibiotic. This will help to reduce the risk of infection when your catheter is changed or removed.

MRSA – Meticillin Resistant Staphylococcus aureus. Bacteria (germs) which can be on some peoples skin or cause an infection.

C.diff/C.diff carrier – Clostridium difficile. A bacterium (germ) which is found in people’s bowel. This can cause diarrhoea.

Multi-resistant organism – This can refer to many different types of germs and would mean that there are a reduced number of antibiotics which would treat the infection.

Bacteraemia – This is a more serious infection in the bloodstream.

Urinary tract infection (UTI) – This is caused by bacteria which enter the bladder via the urethra. In this case your doctor may decide to prescribe an antibiotic which will help you overcome this infection.


Acute section

This section will be completed by your healthcare

professionals at the hospital before you are discharged


5

Rationale for catheterisation/Additional information

Date of catheterisation

Planned catheter removal/change date

CSU taken Yes No

Urethral Suprapubic

Urethral Suprapubic

Result

Prophylactic antibiotics required? (refer to local antimicrobial guidelines) Yes No

Future treatment plan/trial without catheter/outpatients department

Make

INSERT CATHETER RECORD

STICKER

WHERE AVAILABLE

OR COMPLETE

Code

LOT

Size – Ch

Balloon volume (ml)

Any problems associated with catheterisation?

Collection system applied Valve Leg Bag Overnight Bag

Print Name Signature Date


Discharge checklist (tick boxes below when completed and sign)

Catheter Care booklet – Go through supporting education

literature with patient/carer and fill in relevant catheter information

in the acute section of the passport booklet

Prosys ® Hospital to Home pack – Replace existing leg bag

with Prosys leg bag from Hospital to home pack on day of discharge

Patient choice – Discuss home delivery or pharmacy as an option

Consent – Gain consent from patient to share personal details

You will need

Registration by telephone or email

Healthcare Professional details

Patient name

Patient date of birth

Patient home address

GP name and address

Discharge Nurse Signature


7

Patient information


What is a urinary catheter? An indwelling urinary catheter is a soft flexible hollow tube used to drain urine from the bladder.

Once in place a small balloon at the catheter tip is inflated to stop the catheter falling out. A drainage bag or valve is then attached. Never remove the catheter yourself unless you have been taught by a health care professional.

The catheter is inserted into the urethra (the opening of which is situated at the tip of the penis or just above the vagina) or through a hole made in the abdomen (suprapubic catheter). The catheter is then guided into the bladder, allowing urine to flow through it and into a drainage bag which will be attached to your leg. Some people may have a valve at the end of the catheter instead of a drainage bag.

Why have I got a catheter? The most common reason to have a catheter at home is because you are unable to pass urine normally. If you have not been told why you have a catheter, please ask.

What should I do if I have pain and discomfort? Lower abdominal or tummy pain can be experienced when a catheter is first inserted but should pass. Check that your drainage bag is not pulling on your catheter and that it is adequately supported. If this continues, contact your nurse for advice. Pain in lower abdomen or back (with or without fever) could indicate urinary tract infection. Seek advice from your doctor.

When will my catheter need changing? Your nurse will advise you on how often and when your catheter needs changing and also how to obtain further supplies of catheter equipment.


9

How do I look after my catheter on a daily basis? Empty the leg bag when it is approximately 2⁄3 full of urine

If you have a valve attached to your catheter instead of a leg bag, you should open the valve and empty your bladder:

o when you feel that it is full

o before going to bed

o first thing in the morning

o during the night if necessary

o at least every 3-4 hours during the day

o before opening your bowels

Replace the leg bag or valve once a week

To help prevent infection, only disconnect the leg bag or valve weekly when it is replaced with a new one

Keep your leg and night bag below the level of your bladder to prevent the back flow of urine

Attach a 2 litre night bag to the leg bag or valve every night, to prevent having to empty the bag overnight. Remember to open the valve from your leg bag or catheter valve, which is connected to the 2 litre night bag

Close the leg bag or catheter valve and remove the night bag every morning and dispose of it

If you have a suprapubic catheter and there is a small leakage around the insertion site, you will have a dressing for the first few days until the leakage has stopped. The area can be washed when the dressing has been removed

Avoid constipation as this can interfere with catheter function


Depending on the material the catheter is made from they can remain in place for up to 28 days (a short term catheter) or up to12 weeks (a long term catheter).* The nursing staff will inform you which type of catheter you have, and how long it can remain before needing to be changed or removed.

A leg bag sleeve can also be used to attach the urine drainage bag.

Indwelling Catheter

Female: Side View

01 Catheter with retention balloon in bladder

02 Catheter

03 Urine leg bag with supporting straps

Leg bag

sleeve

Fig 3


11

Indwelling Catheter

Male: Side View


02 Catheter in urethra

03 Urine leg bag with supporting straps


Suprapubic Catheter

Female: Side View

02

01

04

03

01 Bladder


03 Catheter

04 Pubic bone

01 Bladder


03 Catheter

04 Pubic bone

03

04

01

02 Suprapubic Catheter

Male: Side View


13

How can I reduce the risk of getting an infection? It is essential that the highest standards of hygiene are maintained at

all times

Wash your hands before and after touching your catheter or drainage bag

Wash the skin in the area where the catheter enters the body with non-perfumed soap and water at least twice a day

Men should carefully wash under the foreskin (unless you have been circumcised). Dry the area thoroughly and ensure the foreskin is replaced over the end of the penis

Women should always wash the genital area from front to back to prevent contamination from the back passage. Dry the area thoroughly

Avoid the use of talc, antiseptic, bubble bath or bath salts and creams. o These can cause irritation

Do not remove your leg bag when you have a bath or shower

What should my urine look like? What colour is your urine?

1 2 3 4 5 6 7

4-5 Moderately 1-3 Hydrated Dehydrated –

drink a bit more

6-7 Dehydrated – start drinking

Urine should be a light yellow colour. If it is orange/dark brown, you may not be drinking enough fluid

You should drink approximately 1.5 to 2 litres/2.5 to 3.5 pints which is 8 cups or 5 mugs of fluid in 24 hours

Avoid caffeine as this may irritate your bladder. There is caffeine in tea, coffee, cola, some herbal teas and drinking chocolate. Try decaffeinated drinks


Some medication and foods may cause discolouration of urine. o Your Community Nurse Team will be happy to discuss this with you

If your urine is cloudy and doesn’t improve after drinking more, contact your Community Nurse Team

If your urine is bloodstained or has specks of blood in it, contact your nurse

If you are passing bright red blood you should contact your doctor

Some patients with Urinary Catheters have frequent blockages/ infections and therefore may find benefit from certain fluids. For further information discuss with your Community Nurse Team

What should I do if my catheter is not draining or it is leaking? Check the drainage bag is below the level of the bladder, particularly

when sitting in a low chair

Make sure that the tubing is not kinked, twisted or restricted by tight clothing

Make sure that the tubing is not pulled tight or stretched as this may restrict urine flow

Check that the drainage bag is connected correctly. Make sure that the straps, which secure the leg bag to your leg, are positioned behind the leg bag tube

Urine will not drain if the bag is full. Empty the bag when it is approximately 2⁄3 full

Constipation can prevent your catheter from draining. Ask your Nurse about eating a healthy diet to avoid constipation. It is recommended that 5 pieces of fruit or vegetables are eaten per day to promote health and maintain a healthy bowel

Change your position, take regular exercise, but avoid anything too vigorous, ensure catheter is well supported. Walking encourages better drainage and dislodges any debris in the catheter


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Make sure that you are drinking enough fluid (1.5 to 2 litres/2.5 to 3.5 pints which is 8 cups or 5 mugs in 24 hours)

If you experience any urine leakage this may be due to bladder spasms, or urinary leakage via the urethra is quite common if suprapubic catheter in place. Please contact your nurse

Check that your catheter is draining well at regular intervals throughout the day

Make sure the valve or leg bag tap is open when connected to the night bag

How do I dispose of used catheter bags? Empty the contents into the toilet

Double wrap the bag (either in newspaper or a plastic bag)

Place into your household waste bin. The bags are not recyclable

The bags should not be burned on an open fire or electric incinerator

What about sex? Sexual intercourse is possible even if you need a Urinary Catheter, but the genital area would need to be washed before and after sexual intercourse. Please discuss with your nurse who will help advise on the best approach for you.

When should I ask for help? Your catheter should remain comfortable and pain free.

However, you should ask for help when:

You experience acute lower abdominal or tummy pain

Urine is not draining, or very little urine is flowing into the bag but your bladder feels full and you have followed the simple self-help measures within this information booklet

The catheter falls out and you are unable to pass urine


The catheter falls out and you can pass urine, contact your nurse for advice

There is blood in your urine

Urine is cloudy, smelly or you have a burning sensation, which does not improve after drinking extra fluids

Urine is leaking around the catheter, enough to make your clothing wet

If you have a supra pubic catheter and the site becomes very irritated, swollen, red or tender

You have a fever; develop nausea, vomiting or feel unwell

Storage of Catheter Equipment It is important to keep an emergency stock of catheter equipment at home so that you are prepared if you encounter any problems. Please ask the nurse what stock is needed:

Store any catheter equipment in their original packaging; in a dry, safe place away from direct sunlight and heat

Going on Holiday? Make sure you have a spare catheter and enough catheter valves and/or bags to take with you to cover holiday period

It is a good idea to pack some of your products and equipment in a bag to take on the plane as well as in your suitcase; in case your suitcase gets lost

Catheterisation records All details of urinary catheterisation should be recorded in the appropriate sections as well as the appropriate nursing/medical records.

Completion of the booklet will enhance continuity of care for the patient between both community and hospital settings.


17

Useful Information

Community Continence Service

Bladder and Bowel Service Telephone: 0191 4458417

Gateshead Health NHS Foundation Trust

QE Hospital Telephone: 0191 482 0000

Specialist Urology Nurses

Telephone: 0191 4452217

Community Nursing Teams

CENTRAL Locality Telephone: 0191 445 5114

WEST Locality

Telephone: 0191 2834599

INNER WEST Locality

Telephone: 0191 2834619

SOUTH Locality

Telephone: 0191 4453021

EAST Locality Telephone: 0191 4403872

Bladder and Bowel Foundation

Telephone: 0800 011 4623

www.bladderandbowelfoundation.org

NHS Direct

111

http://www.bladderandbowelfoundation.org/

http://www.bladderandbowelfoundation.org/


This section will be completed by your healthcare professionals

who will be involved in your community care after you have

been discharged from hospital

Community section

Collection system applied

Print Name

Valve

Signature

Leg Bag Overnight Bag

Date


19




CSU taken Yes No

Urethral Suprapubic

Urethral Suprapubic

Result

Prophylactic antibiotics required (refer to local antimicrobial guidelines) Yes No


Make


STICKER

WHERE AVAILABLE

OR COMPLETE

Code

LOT

Size – Ch

Balloon volume (ml)



Print Name

Valve

Signature


Date





CSU taken Yes No

Urethral Suprapubic

Urethral Suprapubic

Result



Make


STICKER

WHERE AVAILABLE

OR COMPLETE

Code

LOT

Size – Ch

Balloon volume (ml)



Print Name

Valve

Signature


Date


21




CSU taken Yes No

Urethral Suprapubic

Urethral Suprapubic

Result



Make


STICKER

WHERE AVAILABLE

OR COMPLETE

Code

LOT

Size – Ch

Balloon volume (ml)



Print Name

Valve

Signature


Date





CSU taken Yes No

Urethral Suprapubic

Urethral Suprapubic

Result



Make


STICKER

WHERE AVAILABLE

OR COMPLETE

Code

LOT

Size – Ch

Balloon volume (ml)



Print Name

Valve

Signature


Date


23




CSU taken Yes No

Urethral Suprapubic

Urethral Suprapubic

Result



Make


STICKER

WHERE AVAILABLE

OR COMPLETE

Code

LOT

Size – Ch

Balloon volume (ml)



Print Name

Valve

Signature


Date





CSU taken Yes No

Urethral Suprapubic

Urethral Suprapubic

Result



Make


STICKER

WHERE AVAILABLE

OR COMPLETE

Code

LOT

Size – Ch

Balloon volume (ml)



Print Name

Valve

Signature


Date


25




CSU taken Yes No

Urethral Suprapubic

Urethral Suprapubic

Result



Make


STICKER

WHERE AVAILABLE

OR COMPLETE

Code

LOT

Size – Ch

Balloon volume (ml)



Gateshead CCG Urology Formulary All Silicone Long Term Catheters

Order Codes Product Manufacturer Ch size Quantity Price

DA310112- DA310124

Male Length – Rusch Brillant Aquaflate

Teleflex Medical 12-24Ch 1 £5.95

DA210112- DA210124

Femaile Length – Rusch Brillant Aquaflate


Latex Hydrogel Coated Catheters


DH3101/12-24 Male Length – Rusch Sympacath Aquaflate Hydrogel


DH2101/12-24 Female Length – Rusch Sympacath Aquaflate Hydrogel


Medium Term Catheters


DP310112- DP310124

Male Length – Rusch PTFE Aquaflate Teleflex Medical 12-24Ch 1 £2.10

DP210112- DP210124

Female Length – Rusch PTFE Aquaflate Teleflex Medical 12-24Ch 1 £2.10

Open Ended Catheter


AA74 (then size) Male Length – Folysil-All Silicone Catheter Coloplast Ltd 12-18 Ch 1 £5.97

AA8C (then size) Male Length – Folysil X-tra Coloplast Ltd 12-18 Ch 1

Lubricating Gel for Catheterisation with Local Anaesthetic Effect

Order Codes Product Manufacturer Size Quantity Price

CJL08501 Cathjell Lidocaine Female Teleflex Medical 8.5g 1 £1.20

CJL12501 Cathjell Lidocaine Male Teleflex Medical 12.5g 1 £1.25

CJM08501 Cathgell Mono Teleflex Medical 8.5g 1 80p

CJM12501 Cathgell Mono Teleflex Medical 12.5g 1 85p

Catheter Valves


00-0060 E-Z Flow catheter valve Tap action Flexicare Medical N/A 5 £11.01

JECV Euro Catheter Valve Jade-Euro-Med Ltd N/A 5 £11.97

380851 Simpla Catheter Valve Coloplast Ltd N/A 5 £12.69

BFF5 Flip-Flo Catheter Valve (Not compatible with silicone catheter)

Bard Ltd N/A 5 £12.93

Leg Bags


P350S Short Tube-Prosys Slide Action Tap, Sterile with Gloves

Clinisupplies Ltd 350mls 10 £26.00

P500S Short Tube-Prosys Slide Action Tap, Sterile with Gloves


P500L Long Tube-Prosys Slide Action Tap, Sterile with Gloves


P750L Long Tube-Prosys Slide Action Tap, Sterile with Gloves



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Single Use Bed Catheter Bag


PSU2 Night bag-Prosys Non sterile single use bag with outlet tap

Clinisupplies Ltd 2 litre 10 £3.10

Drainable Bed Catheter Bag


P2000 Sterile 2 litre bag with 90cm tube Clinisupplies Ltd 2 litre 10 £12.20

Specialist Catheter Bags


B1000 Rusch Belly Bag includes belt Teleflex Medical 1000mls 2 £21.00

P0337 Rusch Belly Bag Replacement belt Teleflex Medical 500mls 2 £4.70

70.04S Discreet Thigh Bag direct centre inlet, wide and narrow strap

Manfred Sauer 400mls 10 £23.23

704712 Bendi Bag for wheelchair users Manfred Sauer 1300mls 10 £21.63

Catheter Bag Stands


PBS001 Prosys antibacterial stand Clinisupplies Ltd Durable 1 FOC

GDW 143 Overnight Stand NHS Supplies Durable 1 £3.09

380805 Plastic Stand Coloplast Ltd Fragile 1 FOC

Catheter Strap


383002 G-Strap Coloplast Ltd Short 5 £13.52

383001 G-Strap Coloplast Ltd Adult 5 £13.52

383003 G-Strap Coloplast Ltd Abdo 5 £14.92


FLOL102DT Stat lock for use with a silicone catheter Bard Ltd Standard 5 £12.00

FLOL103DT Stat lock for use with a latex based catheter Bard Ltd Standard 5 £12.00


40-310 CliniFix Tube Holder ClinMed 110mm x

25mm 10 £16.00

40-410 CliniFix Tube Holder ClinMed 140mm x

40mm 10 £17.50

Catheter Bag Leg Sleeve


783678 Aquasleeve Small Coloplast Ltd 24-33cm 4 £7.96

783680 Aquasleeve Standard Coloplast Ltd 34-39cm 4 £7.96

783686 Aquasleeve Medium Coloplast Ltd 40-46cm 4 £7.96

783694 Aquasleeve Large Coloplast Ltd 47-64cm 4 £7.96

783708 Aquasleeve Extra Large Coloplast Ltd 64cm + 4 £7.96

Catheter Maintainence Solution


9746609 Uro-Trainer Twin Suby G 3.25% Citric Acid Braun Medical 2x30mls 1 £4.42

9746625 Uro-Trainer Twin Solution R 6% Citric Acid Braun Medical 2x30mls 1 £4.42

Uro-Trainer Uro-Trainer NaCI 0.9% Sodium Chloride 0.9% Braun Medical 100mls 1 £3.23

Intermittent Self Cathertisation (ISC)


284105 SpeediCath Male Coloplast Ltd 10fg 30 £42.30



28212 SpeediCath Male Control Coloplast Ltd 12fg 30 £42.30

285085 SpeediCath Female Coloplast Ltd 8fg 30 £42.30



28578 SpeediCath Compact Female Coloplast Ltd 8fg 30 £43.74



960 10 00 LoFric Primo Male integrated water pocket Astra Tech Ltd 10fg 30 £43.74



968 08 00 LoFric Primo Female integrated water pocket Astra Tech Ltd 8fg 30 £43.74



Urinary Sheaths


1243 Clear Advantage with Aloe Style 1 Standard Rochester Medical 24mm 30 £47.22





2243 Clear Advantage with Aloe Style 2 Pop on Rochester Medical 24mm 30 £47.22





3243 Clear Advantage with Aloe Style 3 Wideband Rochester Medical 24mm 30 £47.22





Leg Bag for Sheaths


5160 Conveen Security 25cm tube Non sterile Coloplast Ltd 500ml 10 £23.73

5161 Conveen Security 50cm tube Non sterile Coloplast Ltd 500ml 10 £23.73

783528 Simpla Plus adjustable length tube Non sterile Coloplast Ltd 500ml 10 £25.43


PSU2 Night bag – Prosys Non sterile single use bag with outlet tap

Clinisupplies Ltd 2 litre 10 £3.10

Clinisupplies Ltd, Qualitas House, 100 Elmgrove Road, Harrow, Middlesex HA1 2RW, UK. Telephone: 0208 863 4168 Fax: 0208 426 0768 Email: [email protected] www.clinisupplies.co.uk CS475_0918 v2

mailto:[email protected]

http://www.clinisupplies.co.uk/


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Data Protection

Any personal information is kept confidential. There may be occasions where your information needs to be shared with other care professionals to ensure you receive the best care possible. In order to assist us to improve the services available, your information may be used for clinical audit, research, teaching and anonymised for National NHS Reviews and Statistics. Further information is available via Gateshead Health NHS Foundation Trust website or by contacting the Data Protection Officer by telephone on 0191 445 8418 or by email [email protected].

NoIL682 Version: 1 First Published: December 2018 Review Date: December 2020 Author: Infection Control Team, Urology Team

This leaflet can be made available in other languages and formats upon request

mailto:[email protected]

Catheter Care and Record Book

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